Central retinal vein occlusion

Background

1. Risk Factors
   1. DM
   2. HTN
   3. Hypercoagulable states
   4. Vasculitis
   5. Glaucoma

Clinical Features

1. Loss of vision
   1. Variable, ranging from vague blurring to rapid, painless monocular vision loss

Diagnosis

1. Fundoscopy
   1. Optic disc edema, dilated and tortuous veins, diffuse retinal hemorrhages ("blood-and-thunder fundus")

Treatment

1. Consult ophtho and neuro
2. Complex treatment involving lowering IOP, topical steroids, cyclocryotherapy, photocoagulation while managing underlying medical diseases

See Also

Acute Vision Loss (Noninflamed)

Source

Tintinalli

Rosen's